Active NPI
John David Stock, PT
- Physical Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05006033A
- Practice address
- 14020 Old State Rd # D100
Evansville, IN 47725-1164 - Phone
- (812) 469-4770
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05006033A | IN | Primary |
Addresses
Primary practice location
14020 Old State Rd # D100
Evansville, IN 47725-1164
Mailing address
5927 Reliable Pkwy
Chicago, IL 60686-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14020 Old State Rd
Suite D100
Evansville, IN 47725-1164
Phone (812) 469-4470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Health, Inc | Physical Therapist | Current | Accepting new patients |
Locations
5927 Reliable Pkwy
Chicago, IL 60686
14020 Old State Rd
Ste D100
Evansville, IN 47725
Phone (812) 469-4470
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
1144 Washington Sq
Evansville, IN 47715
Phone (812) 485-5200
250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1194749887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5927 RELIABLE PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14020 OLD STATE RD # D100",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477251164",
"telephone_number": "812-469-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05006033A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.